ATMOFIZER Order Form

ORDER FORM: Atmofizer One or PRO

Included: Unit, power-cord w/US plug, manual • Usually Ships within 7-10 days
Your Name *

First Name Last Name
Business Name
ABC Co.
Shipping Address *

Street Address

Street Address Line 2

City State

Zip Code
Email *
john@company.com
Phone Number *

Area Code Phone Number
Which USA Rapid Test Partner Referred You? *
ie. Joe, or ABC Co., or None

How Many ATMOFIZER One Units? *

Atmofizer One Unit • Was $1,299 Now On SALE: $ 995.00

Atmofizer One Unit (Covers ~650 sq-ft.)

Select Quantity
Item subtotal: $ 0.00

Atmofizer PRO Unit • Was $4,900 Now On SALE: $ 4,500.00

Atmofizer PRO Unit (Covers ~2,500 sq-ft.)

Select Quantity
Item subtotal: $ 0.00

Enter coupon

Subtotal $ 0.00 Shipping $ 0.00 Total $ 0.00

ORDER FORM: Atmofizer One or PRO